Blake, John R
Blake, John R is an individual health care provider with primary practice located at 4306 Asheville Hwy , Knoxville TN 37914-3601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blake, John R can be contacted via phone (865) 522-2168.Contact Information
Primary practice address
4306 Asheville Hwy
Knoxville TN 37914-3601
Phone: (865) 522-2168
Fax: (865) 522-7116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD16391 | Tennessee |
Profile Details
| NPI number | 1447220363 |
|---|---|
| LBN Legal business name | Blake, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447220363 | NPPES |
| Tennessee | MEDICAID | 3721704 |
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